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Application to Join Mensa New Zealand Inc


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Application to Join

Mensa New Zealand Inc.


  • I wish to apply to join Mensa NZ Inc.







  • Mensa New Zealand Inc. will contact me with testing dates available.




  • I wish to be contacted via:

postal mail / email / fax (please circle one)
Name:
Street Address:

Postal Address: (if different from above)

Date of Birth:
Telephone (Home)

(Work)


(Mobile)
Email address:
How did you hear about “Mensa”?

Please complete this form and send to:

Email: National Testing Officer test@mensa.org.nz
Post: Mensa New Zealand Inc.
P.O. Box 5765

Wellesley Street
Auckland 1141

New Zealand


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